Individual
TYESHA ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 TEAL CIR, NEWARK, DE 19702-4210
(302) 465-1090
Mailing address
36 TEAL CIR, NEWARK, DE 19702-4210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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